1/8. Sonographic detection of visceral adhesion in percutaneous drainage of afferent-loop small-intestine obstruction.To facilitate the percutaneous drainage of an afferent-loop small-intestine obstruction, we used sonography to detect visceral adhesions and select a safe puncture route. The portion of the small intestine that was fixed to the anterior abdominal wall was sonographically identified by using a high-frequency transducer to locate the area of restricted visceral sliding. The needle was then inserted into the intestine. In 3 cases, we have found that this technique improves the confidence of the physicians who perform the percutaneous drainage and may help to minimize the risks associated with the percutaneous drainage.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/8. Perforation of jejunal diverticulum: case report and review of literature.We report the case of a 90-year-old woman, previously diagnosed with jejunal and colonic diverticula, who presented with left lower quadrant abdominal pain suggesting either colonic diverticulitis or ischemic colitis. A computed tomography scan revealed a perforated jejunal diverticulum with abscess formation. The patient promptly was treated surgically without complications. A review of the literature indicates the rarity of perforation of jejunal diverticula and the difficulty of early diagnosis. We discuss the etiology, pathogenesis, diagnosis, and management of this rare entity. It is important for primary care physicians to be familiar with this disease. Delay in work-up often results in catastrophic consequences.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/8. Tuberculous enteritis: a case report.Tuberculous enteritis is an unusual diagnosis in the united states. Because this entity is rare and the symptoms are not specific, the physician must have a high index of suspicion. We report the case of a young man with tuberculous involvement of the gastrointestinal tract who required surgical intervention for small bowel obstruction.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/8. Indiscretion enteritis. A Rabelaisian syndrome.A 76-year-old man had small bowel obstruction and organic small bowel disease following a series of bizarre massive gustatory insults that involved food, medications, and mega-mineral-vitamin supplements. intestinal obstruction required partial small bowel resection. The dietary indiscretions resulted in severe enteritis (indiscretion enteritis). The sequence has been termed a Rabelaisian syndrome after the great French writer and physician, Francois Rabelais, who vividly described bizarre gustatory habits. Gut injury may result from unwise oral intake of various foods and mineral supplements.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/8. Idiopathic chronic ulcerative enteritis: a report of two cases.Idiopathic chronic ulcerative enteritis (ICUE) is considered by some physicians to be a variant of sprue. Two patients being treated at our hospital for nonspecific abdominal symptoms had abnormal findings from a small-bowel series; at surgery, an ulcerating process involving the jejunum was found. Clinical, radiological, and pathological findings in these cases suggest that ICUE is a distinct entity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/8. Retained surgical sponge after laparotomy. Unusual presentation.Erosion of a retained surgical sponge into the intestine is an unusual occurrence and may make its appearance months or years later. The demonstration of a distended bowel by the barium-impregnated mass with multiple polypoidal filling defects in a patient who has undergone previous laparotomy should lead the physician to suspect a retained surgical sponge. Surgical intervention is rewarding.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/8. Small bowel diverticulosis. A forgotten diagnosis.Small bowel diverticulosis (SBD) have the lowest incidence of diverticulosis of the alimentary tract. The incidence differs from 0.09% to 2.3% depending on the reporting physician. SBD are pseudodiverticula, consisting of mucosa only. The causes of SBD are not clear, but the "locus minoris resistentiae" theory is most widely accepted. Overactive or irregular peristalsis bulges the mucosa out through vascular defects in the bowel wall. Only meticulous radiographic techniques can lead to a diagnosis. Preoperative diagnosis is exceptional. SBD can produce chronic abdominal discomfort. Acute complications are also numerously described, giving rise to a surgical emergency. Resection of the involved segment is then the only good procedure. Two cases presenting major complications are discussed, followed by a review of the literature.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/8. pneumocystis carinii infection of the small intestine.Extrapulmonary pneumocystis carinii infections are rare in comparison to other opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). In recent years, however, the number of reported cases of extrapulmonary pneumocystosis has increased. It is therefore important for physicians to recognize the various presentations of extrapulmonary P carinii infection. This article reports a case in which the initial clinically detected AIDS-related infection was extrapulmonary P carinii infection of the small intestine diagnosed after perforation of the jejunum.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |